| NPI | 1619113610 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL TITAYEVSKY President 215-842-0870 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0208X Clinic/Center Radiology, Mobile (Licence: PA PA-1134) |
| Additional Taxonomies | 2471N0900X Radiologic Technologist Nuclear Medicine Technology |
| 2471V0105X Radiologic Technologist Vascular Sonography | |
| Enumeration Date | 2008-12-21 |
| Last Update Date | 2008-12-21 |